WANISSA FORD

CHICAGO, IL
NPI1033531736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.011082)
Enumeration Date2014-01-14
Last Update Date2014-02-21
Business Address
-- WANISSA FORD FNP-BC
3752 W 16TH ST
CHICAGO, IL 60623-2028
Phone number: 773-762-2435
Mailing Address
-- WANISSA FORD FNP-BC
3752 W 16TH ST
CHICAGO, IL 60623-2028
Phone number: 773-762-2435
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